Lisa Ruszkowski

Lisa is a seasoned professional in the health insurance industry with over 15 years of experience. Her knowledge and expertise span a broad range of areas, including value-based payment models, provider contracting strategy, and traditional actuarial functions. Lisa's proficiency in these areas has positioned her as a thought leader in the industry.

Her recent client engagements include:

• Formulating and implementing payer-provider alternative payment strategies and their financial management
• Providing support to Medicaid Managed Care Organizations in optimizing and predicting financial performance, which includes revenue management, risk adjustment, and claims validation
• Monitoring Medicare ACO performance and strategizing for improvement
• Conducting comprehensive MSSP vs. ACO REACH analysis
• Designing state Medicaid agency value-based payment strategies

Lisa's extensive experience traverses managing alternative payment models across various lines of business, including commercial, Medicare, and Medicaid. She is also highly skilled in network development. Her unique blend of strategic thinking, financial acumen, and deep industry knowledge positions her to deliver exceptional results in the ever-evolving landscape of health insurance.

Prior to joining Milliman, Lisa held a senior director and actuary position at a large national insurer. She oversaw the operations and financial integration of fee for value payment contracts into pricing, reserving, and forecasting across multiple states and lines of business. Her leadership and strategic thinking significantly contributed to the successful integration and financial viability of these contracts.